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The Healthy Crew, Clean Vessel, and Set Departure Date Triad: Successful Control of Outbreaks of COVID-19 On Board Four Cargo Vessels

Published online by Cambridge University Press:  09 July 2021

Tudor A. Codreanu Open the ORCID record for Tudor A. Codreanu [Opens in a new window] ,
Nevada Pingault ,
Edmond O’Loughlin ,
Paul K. Armstrong  and
Benjamin Scalley
Tudor A. Codreanu*
Affiliation:
State Health Incident Coordination Centre, Department of Health Western Australia, Perth, Western Australia, Australia Disaster Preparedness and Management Unit, Divisional Commander, Complex Medical Deployments, Australian Medical Assistance Team – Western Australia, Australia
Nevada Pingault
Affiliation:
Public Health Emergency Operations Centre, Department of Health Western Australia, Perth, Western Australia, Australia COVID-Net, Australian Government Department of Health, Perth, Western Australia, Australia
Edmond O’Loughlin
Affiliation:
School of Medicine, University of Western Australia, Perth, Western Australia, Australia
Paul K. Armstrong
Affiliation:
Public Health Emergency Operations Centre, Department of Health Western Australia, Perth, Western Australia, Australia
Benjamin Scalley
Affiliation:
Public Health Emergency Operations Centre, Department of Health Western Australia, Perth, Western Australia, Australia
*
Correspondence: Tudor A. Codreanu, PhD State Health Incident Coordination Centre Department of Health 189 Royal Street, 6000 PerthWestern Australia, Australia E-mail: [email protected]
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Abstract

Background:

A variety of infectious diseases can cause outbreaks on board vessels, with both health and economic effects. Internationally, Coronavirus Disease 2019 (COVID-19) outbreaks have occurred on numerous cruise and cargo vessels and the containment measures, travel restrictions, and border closures continue to make it increasingly difficult for ship operators world-wide to be granted pratique, effect crew changes, and conduct trade. An effective outbreak management strategy is essential to achieve the outcome triad – healthy crew, clean vessel, and set departure date – while maintaining the safety of the on-shore workers and broader community and minimizing disruption to trade. This report describes the principles of COVID-19 outbreak responses on four cargo vessels, including the successful use of one vessel as a quarantine facility.

Methods:

Established principles of management and the experiences of COVID-19 outbreaks on cruise ships elsewhere informed a health-lead, multi-agency, strict 14-day quarantine (Q) regime based on: population density reduction on board; crew segregation; vessel cleaning and sanitation; infection risk zones, access, and control measures; health monitoring; case identification and management; food preparation and delivery; waste management control; communication; and welfare and security.

Findings:

Sixty-five crew were diagnosed with Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) infection (range 2-25; attack rate 10%-81%; 15 asymptomatic). No deaths were recorded, and only one crew was hospitalized for COVID-19-related symptoms but did not require intensive care support. Catering crew were among the cases on three vessels. All non-essential crew (n-EC) and most of the cases were disembarked. During the vessel’s Q period, no further cases were diagnosed on board, and no crew became symptomatic after completion of Q. The outbreak response duration was 15-17 days from initial decision.

No serious health issues were reported, no response staff became infected, and only two Q protocol breaches occurred among crew.

Interpretation:

Despite increasing risk of outbreaks on cargo vessels, maritime trade and crew exchanges must continue. The potential consequences of COVID-19 outbreaks to human life and to trade necessitate a balanced response. The principles described can offer health, financial, operational, and safety advantages.

Keywords

COVID-19disease outbreaksquarantineSevere Acute Respiratory Syndrome Coronavirus-2vesselsWestern Australia
Type
Special Report
Information
Prehospital and Disaster Medicine , Volume 36 , Issue 5 , October 2021 , pp. 611 - 620
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Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

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